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Membership Application
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Membership Application

If you would like to apply for SIM membership, please complete the form below with the appropriate information. It will be reviewed and you will be notified of your standing within 3 weeks.

If you are interested in membership in one of the following chapters, please click their link below to apply directly:
   Boston
   Fairfield-Westchester
   New Jersey

IMPORTANT! This Membership Form is for individuals interested in becoming new SIM members.
This is not a renewal form for current SIM members.

If you are currently a member of SIM and would like to renew your membership:

  1. Chapter members should contact your local chapter membership chair or SIM headquarters.
  2. At-large members should contact SIM headquarters, 312.527.6734 or sim@simnet.org
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Add text "All fields marked * are required."

CONTACT INFORMATION


* First Name
  Middle Name
* Last Name
  Nick Name
* Title
* Company
* Address 1
  Address 2
* City
* State/Province
* ZIP/Postal Code
* Country
* Work Telephone
  Fax
* E-mail
  Home/Other Phone
  Position Profile
  Industry

MEMBERSHIP INFORMATION

  Membership Type
* Chapter

TELL US ABOUT YOURSELF

What IT executive conferences do you attend?
(Check all that apply)
 
What industry-related publications do you read?
(Check all that apply)
 
What is the size of your company? (number of employees)
What is your company's annual revenue?
What is your company's annual IT budget?
What is your input on IT budget decisions?